RESUMEN
As the progress on transition from malaria control to malaria elimination in the People's Republic of China (P.R. China), four counties/districts, namely Zhabei District and Songjiang District of Shanghai municipality, and Anji County and Haiyan County of Zhejiang Province, representatives of the Yangtze River Delta region, were included in the pilot project of the national malaria elimination programme in P.R. China. A baseline survey was conducted first. The main measures performed were blood examination of febrile cases, improving the information management system of malaria cases, providing standard diagnosis and treatment, standardized disposal of epidemic focus, and health education and health promotion, strengthening the management of mobile population, etc. All the measures were assessed and evaluated through data examination and on-site investigation. In the whole process of the pilot project, quality control was especially emphasized. During the implementation of pilot project, the three-level control system was improved, professional staff was enriched and the working fund was ensured (a total fund of RMB 2,923,600). Thirty-nine training courses were conducted. Among 102,451 febrile cases receiving blood examination, all of the 23 malaria cases were confirmed as imported from other provinces or foreign countries. All the epidemic foci were surveyed and some control measures were carried out. Various health education and promotion activities were carried out including publicizing malaria control knowledge through news media, newspapers and periodicals and networks. Assessment and evaluation of the project was done by the Zhejiang and Shanghai Government, comprehensive score was >95 points under the evaluation system which indicated all four pilot counties/districts had first achieved the goal of elimination of malaria in P.R. China. Experiences and lessons about the measures carried out in the project were discussed.
Asunto(s)
Erradicación de la Enfermedad , Malaria/prevención & control , Programas Nacionales de Salud/normas , Evaluación de Programas y Proyectos de Salud , Animales , China/epidemiología , Conocimientos, Actitudes y Práctica en Salud , Humanos , Malaria/epidemiología , Malaria/parasitología , Proyectos Piloto , RíosRESUMEN
OBJECTIVE: To explore the influencing factors of the formation of large-scale Oncomelania snail situation in Maogang Town, so as to provide the scientific evidence for improving snail surveillance in Shanghai. METHODS: The data about the geography, construction and use of floodgate, and snail status of Maogang Town and its surrounding areas, as well as the meteorology and hydrology of Songjiang District were collected and reviewed, and the factors influencing the formation of snail status were analyzed. RESULTS: The condition of water, soil and temperature in Maogang Town was suitable for snail breeding. By 1993, 75% (18/24) of the mouths flowing to Huangpu River and its branches had been built. From 1991 to 2001, the average annual precipitation of Songjiang District was 7.44% higher than the usual condition. There were two basin-wide floods occurring in 1991 and 1999, respectively. The occurrence of tides reaching or exceeding the warning level (3.50 m) of Mishidu hydrology station was positively correlated with the rainfall in the flood season (between June and September, r = 0.903, P < 0.01). Snails were found in some adjacent areas surrounding Maogang Town, and the snail situation peak occurred in early 1990s. In 2002, a large scale area (26.67 hm2) of snail habitats was detected, which was mainly distributed in the west of Maogang Town in the upstream of the Huangpu River. CONCLUSIONS: The formation of large-scale snail-breeding area in Maogang Town probably is the result of the combined action of the construction and use of floodgates, increasing rainfall, floods, tides that frequently surpass warning level of Huangpu River and the snail status of upstream areas. It is necessary to pay more attention to the data collection, analysis and utilization about schistosomiasis-related natural and social factors. In addition, regular snail surveys are suggested in schistosomiasis non-endemic areas adjacent to snail-infested area.